Difficult to say without examination.
Post-op surgical changes are certainly possible - and should be evaluated by the surgeon who did the procedure.
One can also consider Sphincter of Oddi dysfunction. This can replicate gallbladder pain in those who have had their gallbladders removed. An ERCP with a Sphincter of Oddi manometry can be considered to evaluate this possibility.
Otherwise, a pretty comprehensive set of imaging studies have already been performed - ruling out most of the major causes.
If the cause continues to be non-revealing, a referral to a pain management clinic can be considered to appropriately manage the pain medications.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
It definately sounds like something was put back together wrong. For as long as she's been suffering, I would say she would probably welcome the opportunity for them to open her up and take a look. Sometimes all the tests/scans can't see what the eye can when a person is opened up. Laproscopic surgery is great for some people, but for a few there can be serious complications. I say keep calling surgeons, preferably at a different hospital/medical group, until you find one willing to do exploratory surgery. They may have accidentelly blocked off the biliary duct to the small intestine which seems like it could lead to full bowels. (I am only saying this because too much bile in the small bowel leads to diaharrea, so conversely too little should lead to slow bowels.) Don't let them go laproscopic again. A scar would be a small price to pay for sucess. Good luck. You'll be in my prayers.
Please follow through on the doc's suggestion about checking on SOD. It's unfortunate, but there are many people who seem to either develop the condition following gallbladder surgery, or may have previously had the condition and it was only 'uncovered' after the gallbladder is removed. The pain is described by many as very similar to that experienced when they were having gallbladder problems and in some cases can have a person on the floor curled into a fetal position in agony. If you do consult with docs and find that the condition may be SOD, please seek out someone experienced with the condition to get treatment. And as Dr. Kevin suggested request manometry, keeping in mind that many places do not have the capabilities to do the ERCP with manometry, so you may have to look and ask.
Some docs will do an ERCP and perform a sphincterotomy as as standard measure when a patient has pain. However, if a rise in pressure cannot be confirmed via manometry it might not be the best idea.
If the problem is SOD, certain drugs in the opiate class can increase ductal pressures and might make the pain worse, so please talk to your doc about that possibility while you are trying to get to the cause of the problem.
A decent site to read about SOD is: http://hopkins-gi.nts.jhu.edu/pages/latin/templates/index.cfm?pg=disease1&organ=3&disease=12&lang_id=1 I would suggest that you and your wife learn all that you can about postcholecystectomy problems to see if what she is going through might match what you find out. You will better be able to discuss the problems with the doctors you will be talking with. You might also search the Medscape and eMedicine websites for further information.
I hope your wife will be able to get some relief soon.
Do they know what those metal clip things are?? Hopefully they didn't leave something behind after her surgery.
Hi I read your threads about certain meds effecting sod, I went to the john hopkins site you posted, while they have alot of info I didn't find anything on opiates effecting sod. I believe this might be a problem for me and would love to speak with you about this, please email me.
I would appreciate this greatly........Denise
If I were in your shoes I would take your wife to a major medical center such as a teaching hospital at a university. I don't know if your from the US or not but this type of hospital like the one at your state university will probe more & get to the bottom of this pain. There is something definetly wrong, pain of that quality & duration isn't normal. Keep in mind the pain medication that she is using is known for the side effect of constipation. The fact that she is full of stool could also have an effect on the pain level causing pressure on the area. I would not fool around with the Dr's in your area any more, sounds like they are all talk & no action. She needs an exploratory surgery. Take her in on emergency to one of these teaching hospitals. I am from Michigan & the center I have in mind is the U of M Hospital. Or go to Cleveland Clinic or some other speciality hospital.
I'm sorry you have to go through this but don't give up.
God Bless & I'll pray for you and your family, Jean